Health Payer Intelligence November 9, 2018
CMS proposed a new rule that would deregulate Medicaid managed care programs and speed up the managed care contracting process for states.
CMS has proposed a new rule to reduce regulation around Medicaid managed care programs and allow states to contract with private payers to deliver managed care at faster rates.
CMS developed the rule in coordination with the National Association of Medicaid Directors (NAMD) to address common administrative burdens for managed care programs. The agency explained that reducing administrative challenges in managed care while maintaining program integrity will allow states to continue their rapid adoption of managed care organizations (MCOs).
CMS estimates that over 68 percent of all Medicaid beneficiaries were enrolled in a managed care program in 2016....